Procedure

+Specimen Integrity

+ Tumor Size (cm)

Histologic Type

Myometrial Invasion A word about measuring depth of invasion

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A word about measuring depth of invasion

Assessing myometrial invasion may be difficult. Depth of invasion should be measured from the endomyometrial junction to the deepest point of invasion, which may not be easy because the endomyometrial junction in normal conditions is often irregular. In these cases, it is always helpful to look for compressed, nonneoplastic endometrial glands at the nearby endomyometrial junction or even at the base of the tumor. Carcinoma involving adenomyotic foci should not be interpreted as invasive carcinoma. However, the distinction between invasive carcinoma and carcinoma involving adenomyosis may be difficult, because in some cases invasive carcinoma may not elicit stromal response. In the absence of adenomyosis uninvolved by tumor in other sections of the specimen, a diagnosis of adenomyosis involved by adenocarcinoma should be made with caution.

+ Adenomyosis

Uterine Serosa Involvement

Cervical Stromal Involvement

Other Tissue/Organ Involvement

+ Peritoneal/ Ascitic Fluid

Margins (required only if cervix and/or parametrium/paracervix is involved by carcinoma)

Lymphovascular Invasion

Regional Lymph Nodes

Pathologic Staging (pTNM)

TNM Descriptors (select all that apply)

pT

pN

pM

+ FIGO Stage (2015 FIGO Cancer Report)

+ Additional Pathologic Findings

+ Clinical History